title: Community outbreak of invasive group A streptococcal infection.
abstract: In a two-month period, three cases of septicaemia and one of suppurative tenosynovitis caused by a single strain of Lancefield group A streptococcus, serotype T/M/R 3/3/3, occurred in the district of Nairn (population: 10,239). A primary portal of entry for the organism could not be identified in any of the cases. Laboratory isolates from all four patients were highly susceptible to beta-lactam antibiotics, but prompt treatment failed to prevent the deaths of two previously healthy adults. Group A streptococci of M-type 3 have not previously been associated with outbreaks of invasive infection.
authors.affiliation: Raigmore Hospital, Inverness.
authors.forename: A K
authors.initials: AK
authors.lastname: Taylor
mesh_terms: D004196:Disease Outbreaks; D005260:Female; D006801:Humans; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D012606:Scotland / Q000453:epidemiology; D018805:Sepsis / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D013290:Streptococcal Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D013297:Streptococcus pyogenes
chemical_list: D010400:Penicillin G